Year 2020, Volume 4 , Issue 11, Pages 1063 - 1067 2020-11-01

Pediatrik dirsek septik artritinin sunumu ve tedavisi: Olgu serisi
Presentation and management of pediatric elbow septic arthritis: Case series

Bülent KILIÇ [1] , Anıl AGAR [2]


Amaç: Septik artrit acil bir ortopedik durumdur. Dirseğin septik artriti diğer eklemlere göre daha nadir görülmektedir. Bu çalışmanın amacı, dirsek septik artritinin klinik ve radyolojik belirleyicilerini değerlendirmek ve orta dönem klinik sonuçlarını gözden geçirmektir. Yöntemler: Ocak 2015-Ocak 2017 tarihleri arasında üçüncü basamak bir çocuk hastanesine başvuran ve septik artrit tanısı alan ve ardından drenaj ve debridman ile tedavi edilen hastalardan vaka serisi çalışması yapıldı. Tüm değerlendirmeler; hasta geçmişi, fiziksel muayene ve radyolojik ve laboratuvar incelemelerini içeriyordu. Laboratuvar testlerinde tam kan sayımı, eritrosit sedimantasyon hızı (ESR), C-reaktif protein (CRP) ve kan kültürü incelendi. Ayrıca hastaların son takiplerinde dirsek Mayo skorları da incelendi. Bulgular: Değerlendirme; yaş ortalaması 79 ay (2-161 ay) olan 3 erkek ve 2 kadın olmak üzere 5 hasta (5 dirsek) üzerinde yapıldı. Tüm hastalar ağrı, lokal inflamasyon belirtileri (şişlik, kızarıklık, ateş artışı) ve ateş (>38.5 °) ile başvurdu. Laboratuvar tetkiklerinde lökosit sayısı >11.000 olarak tanımlanan tüm hastalarda lökositoz tespit edildi ve tüm hastaların CRP ve ESR değerleri yüksekti. Hastanede yatış sırasında ortalama CRP düzeyi 110,2 (17,5-285) ve ortalama ESR düzeyi 46 (24-85) idi. Hastalar ortalama 47 ay (31-58 ay) takip edildi. Son takip muayenesinde, tüm hastaların Mayo Dirsek Performans Skoru ortalama 82.3 (79-85) idi ve iyi bir sonuç olarak değerlendirildi. Sonuç: Acil servise şiddetli dirsek fonksiyon kısıtlaması ile başvuran ateş, kızarıklık ve şişlik ile başvuran ve önemli travma öyküsü olmayan hastalarda septik artrit her zaman akılda tutulmalıdır. Başarılı klinik sonuçlar elde etmek için erken debridman, irigasyon ve antibiyotik kullanımı önemlidir.
Aim: Septic arthritis is an emergency orthopedic situation, and septic arthritis of the elbow is rarely seen. The aim of this study was to evaluate the clinical and radiological determinants of septic arthritis of the elbow and review the mid-term clinical results. Methods: A case-series study was conducted on patients who visited a tertiary pediatric hospital between January 2015-January 2017, were diagnosed with septic arthritis of the elbow, and treated with drainage and debridement. All evaluations included obtaining a thorough history, physical examination, and radiological and laboratory workup. In the laboratory tests, full blood count, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and blood culture were examined. Mayo scores of the elbows were evaluated in the last follow-up visit. Results: Five patients (5 elbows) including 3 males and 2 females with a mean age of 79 months (2-161 months) were included in this case-series. All patients presented with pain, signs of local inflammation (swelling, redness, increased heat) and fever (>38.5°). All patients had leukocytosis (leukocyte count>11,000), along with elevated CRP and ESR levels. Their mean CRP value during hospitalization was 110.2 (range: 17.5-285) and the mean ESR level was 46 (range: 24-85). The patients were followed up for a mean of 47 months (range: 31-58 months). At the final follow-up examination, the mean Mayo Elbow Performance Score of all the patients was 82.3 (range: 79-85), which was considered a good outcome. Conclusion: Septic arthritis should always be kept in mind in patients presenting to the Emergency Department with severe elbow function restriction together with fever, redness, swelling and no significant trauma history. To obtain successful clinical results, early debridement, irrigation, antibiotics use are important.
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Primary Language en
Subjects Orthopedics
Journal Section Research article
Authors

Orcid: 0000-0001-8101-804X
Author: Bülent KILIÇ
Institution: İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0003-2344-7801
Author: Anıl AGAR (Primary Author)
Institution: İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Dates

Publication Date : November 1, 2020

Bibtex @research article { josam806401, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {1063 - 1067}, doi = {10.28982/josam.806401}, title = {Presentation and management of pediatric elbow septic arthritis: Case series}, key = {cite}, author = {Kılıç, Bülent and Agar, Anıl} }
APA Kılıç, B , Agar, A . (2020). Presentation and management of pediatric elbow septic arthritis: Case series . Journal of Surgery and Medicine , 4 (11) , 1063-1067 . DOI: 10.28982/josam.806401
MLA Kılıç, B , Agar, A . "Presentation and management of pediatric elbow septic arthritis: Case series" . Journal of Surgery and Medicine 4 (2020 ): 1063-1067 <http://jsurgmed.com/en/pub/issue/57748/806401>
Chicago Kılıç, B , Agar, A . "Presentation and management of pediatric elbow septic arthritis: Case series". Journal of Surgery and Medicine 4 (2020 ): 1063-1067
RIS TY - JOUR T1 - Presentation and management of pediatric elbow septic arthritis: Case series AU - Bülent Kılıç , Anıl Agar Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.806401 DO - 10.28982/josam.806401 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 1063 EP - 1067 VL - 4 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.806401 UR - https://doi.org/10.28982/josam.806401 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Presentation and management of pediatric elbow septic arthritis: Case series %A Bülent Kılıç , Anıl Agar %T Presentation and management of pediatric elbow septic arthritis: Case series %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 11 %R doi: 10.28982/josam.806401 %U 10.28982/josam.806401
ISNAD Kılıç, Bülent , Agar, Anıl . "Presentation and management of pediatric elbow septic arthritis: Case series". Journal of Surgery and Medicine 4 / 11 (November 2020): 1063-1067 . https://doi.org/10.28982/josam.806401
AMA Kılıç B , Agar A . Presentation and management of pediatric elbow septic arthritis: Case series. J Surg Med. 2020; 4(11): 1063-1067.
Vancouver Kılıç B , Agar A . Presentation and management of pediatric elbow septic arthritis: Case series. Journal of Surgery and Medicine. 2020; 4(11): 1063-1067.
IEEE B. Kılıç and A. Agar , "Presentation and management of pediatric elbow septic arthritis: Case series", Journal of Surgery and Medicine, vol. 4, no. 11, pp. 1063-1067, Nov. 2020, doi:10.28982/josam.806401